Bilingual (English / Spanish) Associate Enrollment / Eligibility Representative - National Remote - UnitedHealth Group

You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Cuando se trata de salir adelante y tienes la voluntad de ganar, vamos a llamarlo gran potencial de carrera! Imagine being able to get answers to your health plan questions from someone who speaks the same language as you do. Or, the opposite, not being able to get the answers. At UnitedHealth Group, we want our customers to get those answers by speaking to one of our Bilingual Representatives. If you're fluent in English and Spanish, we can show you how to put all of your skills, your passions and your energy to work in a fast - growing environment. 

Opportunities at Change Healthcare, part of the Optum family of businesses. We are transforming the health care system through innovative technology and analytics. Find opportunities to make a difference in a variety of career areas as we all play a role in accelerating health care transformation. Help us deliver cutting-edge solutions for patients, hospitals and insurance companies, resulting in healthier communities. Use your talents to improve the health outcomes of millions of people and discover the meaning behind: Caring. Connecting. Growing together.  

This position is responsible for providing high quality client focused service by using knowledge of local, state, and federal program requirements to efficiently maintain and update general applicant information, financial, medical, and personal information to support client applications for Disability and Medicaid benefits. 

 

This position is full-time, Monday - Friday. Employees are required to work our normal business hours of 8:00am – 5:00pm EST. It may be necessary, given the business need, to work occasional overtime.

We offer weeks of on-the-job training. The hours during training will be 8:00am – 5:00pm, Monday - Friday. Training will be conducted virtually from your home.

*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy.

Primary Responsibilities:

• Monitors and fosters ongoing communications with government agencies regarding the status of claims.

• Documents and updates internal database based on daily contact of select members of assigned applicant group and application evidence requirements, i.e., work activity, medical condition, third party, beneficiary, contact and demographic data financial, life and health insurance information, employment and salary verification, medical history, and documentation where evidence is required.

• Reviews inbox for daily work queues, identifies missing evidence and follows through to completion.

• Answers incoming calls from internal and external customers. 

• Assists callers in resolving account issues by identifying and taking appropriate actions including completing and requesting required forms to support application process.

• Effectively educates and answers inquiries from patients and family representatives regarding application process, while safeguarding Protected Health Information (PHI).

• Assists clients with scheduling appointments, reminding of appointments, and arranging transportation as needed.

• Identifies and takes appropriate actions to complete and submit required financial, medical, and personal information forms to support the client application process.

• Diligently follows-up with institutions/businesses resolving issues ultimately affecting application approval.

• Identifies appropriate escalation points and works with direct manager to resolve issues.

• Reviews outgoing client material for accuracy prior to submission.

• Complies with ethics, privacy and compliance policies and procedures.

• Ability to rapidly adopt and respond to changes in work priorities.

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• High School Diploma / GED OR relevant work experience

• 1+ years of experience in a healthcare or State/Federal agency customer service environment
• Bilingual fluency in English and Spanish

• Previous experience with handling 200+ case loads 

• Basic computer skills, with knowledge of Microsoft Office

• Ability to work our normal business hours of 8:00am – 5:00pm EST, Monday - Friday

• Must be 18 years or older

Preferred Qualifications:

• Previous experience with Federal and State programs

Telecommuting Requirements:

• Ability to keep all company sensitive documents secure (if applicable)

• Required to have a dedicated work area established that is separated from other living areas and provides information privacy

• Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service

Soft Skills:

• Strong communication skills (verbal & written); demonstrated experience working with people of various educational and socioeconomic backgrounds, experience communicating with government caseworkers and hospital personnel
• Strong organization skills – ability to prioritize and plan

• Ability to work independently and follow tasks through to completion without direct supervision

California, Colorado, Connecticut, Nevada, New Jersey, New York, Washington or Rhode Island Residents Only: The hourly range for California / Colorado / Connecticut / Nevada / New York / New Jersey / Washington / Rhode Island residents is $16.00 - $27.31 per hour. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.

 

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

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